Ensuring Program Quality and Progress through Monitoring & Evaluation

Understanding if the project is achieving what it set out to do

Monitoring and evaluation enables programs to track targets for the project against what is actually happening and provides insights for program improvement. You will need to develop an appropriate an M&E system for your program. Figuring out what that system is involved balancing the need for a wide range of information about PrEP uptake, continuation, adherence, and infection with the feasibility of collecting and compiling those data. The intensity of data collection may change as programs go to scale.

Information collection systems

Monitoring systems collect data to help track actual performance versus targets for a project. Depending on the size of the program, systems can collect detailed, individual data or broader aggregate data. For example, the data collection capacity of a local, small-scale program can be much more targeted and specific than that of a far-reaching, national level program. Information collection systems provide the raw data, (the “what”), that feed into a deeper understanding of programs (the “why”). Programs should design their collection systems based on their realistic capacity to collect and analyze data, and use existing tools and indicators where possible.

Evaluation

Evaluation facilitates understanding of why the data are showing specific findings. If there is a trend of individuals discontinuing PrEP use, evaluations can illuminate the causes behind the discontinuation.

Resources

ICAP Daily Oral PrEP M&E Package

The daily oral PrEP M&E package was developed by ICAP at Columbia University to support the implementation and assessment of PrEP. As the use of PrEP is an evolving area, it is expected that these documents will require updating over time as new information regarding PrEP arises and implementation experiences accumulate.

2. PrEP Facility Record
This tool serves as a PrEP patient medical record to be maintained at the health facility providing PrEP.

3. PrEP Patient Register
This tool provides a summary of key longitudinal information for each patient from the PrEP Facility Record.

4. PrEP Monthly Summary Form
This tool provides a template for routine monthly aggregate reporting on PrEP services for facilities. Aggregate numbers can be calculated from information recorded on the PrEP Patient Register.

5. PrEP Quarterly Cohort Report
This tool includes a worksheet and summary reporting template for calculating and reporting PrEP patient outcomes, such as retention and follow-up HIV testing.

PrEP Watch was created and is maintained by AVAC, a non-profit organization based in New York that uses education, policy analysis, advocacy and a network of global collaborations to accelerate the ethical development and global delivery of new and emerging HIV prevention options as part of a comprehensive response to the HIV/AIDS pandemic. AVAC receives no money from pharmaceutical companies, including Gilead Sciences. If you have a comment or suggestion regarding the content of this site, click here to contact us. Read our privacy policy.